| Date of birth: | Mar 29, 1966 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00015366 |
| Booking date: | Apr 20, 2003 |
| Release date: | Apr 21, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.045 - AGGRAVATED BATTERY(DOMV) |
| Offense date: | Apr 20, 2003 |
| Bond amount: | $2,500 |